Provider Demographics
NPI:1295260461
Name:CHRISTOPHER M. ESTES, M.D., MPH. PLLC.
Entity type:Organization
Organization Name:CHRISTOPHER M. ESTES, M.D., MPH. PLLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-397-8229
Mailing Address - Street 1:1680 MERIDIAN AVE STE 603
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2720
Mailing Address - Country:US
Mailing Address - Phone:305-397-8229
Mailing Address - Fax:305-847-3122
Practice Address - Street 1:1680 MERIDIAN AVE STE 603
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2720
Practice Address - Country:US
Practice Address - Phone:305-397-8229
Practice Address - Fax:305-847-3122
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTOPHER M ESTES, M.D., MPH. PLLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-26
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 99617207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL279195100Medicaid
FLAE664ZMedicare UPIN